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Male partner antenatal attendance and HIV testing in eastern Uganda: a randomized facility-based intervention trial

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dc.contributor.author Byamugisha, Robert eng
dc.contributor.author Åstrøm, Anne Nordrehaug eng
dc.contributor.author Ndeezi, Grace eng
dc.contributor.author Karamagi, Charles A. S. eng
dc.contributor.author Tylleskär, Thorkild eng
dc.contributor.author Tumwine, James K. eng
dc.date.accessioned 2012-01-18T14:59:19Z
dc.date.available 2012-01-18T14:59:19Z
dc.date.issued 2011-09-13 eng
dc.identifier.citation Journal of the International AIDS Society 2011, 14:43 en
dc.identifier.issn 1758-2652 eng
dc.identifier.uri http://hdl.handle.net/1956/5471
dc.description.abstract Background: The objective of the study was to evaluate the effect of a written invitation letter to the spouses of new antenatal clinic attendees on attendance by couples and on male partner acceptance of HIV testing at subsequent antenatal clinic visits. Methods: The trial was conducted with 1060 new attendees from October 2009 to February 2010 in an antenatal clinic at Mbale Regional Referral Hospital, Mbale District, eastern Uganda. The intervention comprised an invitation letter delivered to the spouses of new antenatal attendees, while the control group received an information letter, a leaflet, concerning antenatal care. The primary outcome measure was the proportion of pregnant women who attended antenatal care with their male partners during a follow-up period of four weeks. Eligible pregnant women were randomly assigned to the intervention or non-intervention groups using a randomization sequence, which was computer generated utilizing a random sequence generator (RANDOM ORG) that employed a simple randomization procedure. Respondents, health workers and research assistants were masked to group assignments. Results: The trial was completed with 530 women enrolled in each group. Participants were analyzed as originally assigned (intention to treat). For the primary outcome, the percentage of trial participants who attended the antenatal clinic with their partners were 16.2% (86/530) and 14.2% (75/530) in the intervention and nonintervention groups, respectively (OR = 1.2; 95% CI: 0.8, 1.6). For the secondary outcome, most of the 161 male partners attended the antenatal clinic; 82 of 86 (95%) in the intervention group and 68 of 75 (91%) in the nonintervention group were tested for HIV (OR = 2.1; 95% CI: 0.6 to 7.5). Conclusions: The effect of the intervention and the control on couple antenatal attendance was similar. In addition, the trial demonstrated that a simple intervention, such as a letter to the spouse, could increase couple antenatal clinic attendance by 10%. Significantly, the majority of male partners who attended the antenatal clinic accepted HIV testing. Therefore, to further evaluate this simple and cost-effective intervention method, adequately powered studies are required to assess its effectiveness in increasing partner participation in antenatal clinics and the programme for prevention of mother to child transmission of HIV. en
dc.language.iso eng eng
dc.publisher BioMed Central eng
dc.relation.ispartof <a href="http://hdl.handle.net/1956/7333" target="blank">The prevention of mother-to-child transmission of HIV programme in Eastern Uganda. Men’s involvement in a changing HIV testing policy context</a>
dc.rights Attribution CC BY eng
dc.rights.uri http://creativecommons.org/licenses/by/2.0/ eng
dc.title Male partner antenatal attendance and HIV testing in eastern Uganda: a randomized facility-based intervention trial eng
dc.type Peer reviewed eng
dc.type Journal article eng
dc.subject.nsi VDP::Medical disciplines: 700::Health sciences: 800::Community medicine, Social medicine: 801 eng
dc.subject.nsi VDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806 eng
dc.rights.holder Copyright 2011 Byamugisha et al; licensee BioMed Central Ltd.
dc.type.version publishedVersion eng
bora.peerreviewed Peer reviewed eng
bora.cristinID 882945 eng
bibo.doi http://dx.doi.org/10.1186/1758-2652-14-43 eng
dc.identifier.cristinID 882945 eng
dc.identifier.doi http://dx.doi.org/10.1186/1758-2652-14-43


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